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选择性整形外科手术中的骨健康管理:基于索赔的观察性研究
Kyle J Jeray1, Setareh A Williams2, Yamei Wang3
1Orthopedic Surgery, PRISMA Health, Greenville, SC, USA.
Geriatric orthopaedic surgery & rehabilitation
|June 4, 2024
概括
骨健康管理,包括骨质疏松症 (OP) 检测和治疗,对于接受骨科手术的患者来说是不充分的. 这种低于最佳的护理在男性中比女性更为明显.
科学领域:
- 整形外科手术 整形外科手术
- 骨健康 骨健康 骨健康
- 骨质疏松症管理管理
背景情况:
- 在接受选择性骨科手术的患者中,对骨矿物密度 (BMD) 评估和骨质疏松症 (OP) 治疗的数据有限.
- 骨健康管理对于接受骨整形/脊椎整形 (KP/VP),全膝关节整形 (TKA) 和全关节整形 (THA) 等手术的患者至关重要.
研究的目的:
- 评估骨健康的管理,包括OP测试和治疗,在接受选择性骨科手术的年龄≥50岁的患者.
- 根据手术程序,性别和骨折风险,识别骨健康管理中的差异.
主要方法:
- 使用行政索赔数据进行的回顾性队列研究 (Symphony Health,PatientSource).
- 包括50岁以上接受KP/VP,TKA或THA的患者.
- 基于可用的临床指南变量,对非常高骨折风险 (VHRFx) 的风险分层.
主要成果:
- 总共分析了251,919名患者.
- 只有11.8%的患者在手术前6个月接受了OP测试和/或治疗.
- 与TKA (11.0%) 或THA (11.0%) 相比,接受KP/VP的患者的测试/治疗率 (17.5%) 更高.
- 男性的检测/治疗率 (4.6%) 比女性 (13.5%) 低得多.
- 有OP和VHRFx的患者比没有OP的患者显示出更高的测试/治疗率 (30.8%).
结论:
- 在接受选择性骨科手术的患者中,包括OP护理在内的骨健康管理不足于最佳水平.
- 与女性相比,男性的骨健康管理较差.
- 改善手术前后的OP管理可能会改善患者的治疗结果.
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